| NPI | 1366655102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NGUYEN Dentist 281-345-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 22563) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |